General medicine case 5 October 06, 2021 This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs. Date of admission: 2 oct 2021 A 57 year old female who is a magam worker came to the chief complaint of weakness of the left lower and upper limb and deviation angle of mouth to the right side since 6 days. History of present illness: Patient was apparently asymptomatic 6 days back before she developed weakness of left lower limb and also deviation of the angle of the mouth to the right side since 2days because of the deviation slurring of speech is observed. Before coming to our causality she joined the local hospital just weakness of the left lower limb witho